Individual provider Active NPI

Ashok Kumar Reddy Chada, M.D

  • Family Medicine Physician
  • Hickman, KY
National Provider Identifier
1659504413
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP945 Issued in KY
Practice address
2003 S 7TH St
Hickman, KY 42050-1841
Phone
(270) 236-3202
Fax
(270) 236-9597
NPI assigned
Aug 27, 2009
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP945 KY Primary
Surgery Physician 208600000X 2009034796 MO
General Practice Physician 208D00000X 254349 NY
General Practice Physician 208D00000X 048023 CT

Addresses

Primary practice location

2003 S 7TH St
Hickman, KY 42050-1841

Mailing address

2003 S 7TH St
Hickman, KY 42050-1841
Phone (270) 236-3202

Other identifiers 2

IdentifierTypeStateIssuer
000000644520OtherKYBCBS KY ANTHEM
7100100830MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP945KYMDFamily Medicine Physician
048023CTMDGeneral Practice Physician
254349NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Pike Emergency Medicine LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1659504413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 S 7TH ST",
            "city": "HICKMAN",
            "state": "KY",
            "postal_code": "420501841",
            "telephone_number": "270-236-3202",
            "fax_number": "270-236-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 S 7TH ST",
            "city": "HICKMAN",
            "state": "KY",
            "postal_code": "420501841",
            "telephone_number": "270-236-3202",
            "fax_number": "270-236-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADA",
        "first_name": "ASHOK KUMAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP945",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2009034796",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "254349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "048023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KY ANTHEM",
            "identifier": "000000644520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickman, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.